Comparison of three different dressings for partial thickness burns in children: study protocol for a randomised controlled trial

Trials

Kellie Stockton²  Leila Cuttle¹  Roy M Kimble²  Emma Gee Kee² 

[1] Children’s Burns and Trauma Research, Queensland Children’s Medical Research Institute, Queensland University of Technology, Brisbane, QLD, Australia;Centre for Children’s Burns and Trauma Research, Queensland Children’s Medical Research Institute, University of Queensland, Royal Children’s Hospital, Brisbane, QLD, Australia

关键词: Randomised clinical trial;    Distress;    Pain;    Healing;    Silver dressings;    Partial thickness;    Burn injuries;    Child;   

Others  :  807880
DOI  :  10.1186/1745-6215-14-403

 received in 2013-07-31, accepted in 2013-11-14,  发布年份 2013

【 摘 要 】

Background

In the paediatric population, pain and distress associated with burn injuries during wound care procedures remain a constant challenge. Although silver dressings are the gold standard for burn care in Australasia, very few high-level trials have been conducted that compare silver dressings to determine which will provide the best level of care clinically. Therefore, for paediatric patients in particular, identifying silver dressings that are associated with lower levels of pain and rapid wound re-epithelialisation is imperative. This study will determine whether there is a difference in time to re-epithelialisation and pain and distress experienced during wound care procedures among Acticoat™, Acticoat™ combined with Mepitel™ and Mepilex Ag™ dressings for acute, paediatric partial thickness burns.

Methods/Design

Children aged 0 to 15 years with an acute partial thickness (superficial partial to deep partial thickness inclusive) burn injury and a burn total body surface area of ≤10% will be eligible for the trial. Patients will be randomised to one of the three dressing groups: (1) Acticoat™ or (2) Acticoat™ combined with Mepitel™ or (3) Mepilex Ag™. A minimum of 28 participants will be recruited for each treatment group. Primary measures of pain, distress and healing will be repeated at each dressing change until complete wound re-epithelialisation occurs or skin grafting is required. Additional data collected will include infection status at each dressing change, physical function, scar outcome and scar management requirements, cost effectiveness of each dressing and staff perspectives of the dressings.

Discussion

The results of this study will determine the effects of three commonly used silver and silicone burn dressing combinations on the rate of wound re-epithelialisation and pain experienced during dressing procedures in acute, paediatric partial thickness burn injuries.

Trial registration

Australian New Zealand Clinical Trials Registry ACTRN12613000105741

【 授权许可】

   
2013 Gee Kee et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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